CPAP FAQs
CPAP Medicare Coverage
Medicare Part B may cover CPAP machines and accessories (like masks and tubing) after you meet the Part B deductible. Then, you pay 20% of the Medicare-Approved Amount for the machine rental and purchase of accessories. If you use the CPAP machine without interruption, Medicare pays the CPAP supplier to rent the machine for 13 months .
How to Qualify for CPAP Therapy with Medicare
To qualify for Medicare-covered CPAP therapy, take the following steps:
Schedule an appointment with your doctor to discuss your sleep apnea concerns, which may include loud snoring and breath-holding.
Complete a sleep test to determine if you experience sleep apnea episodes. Based on the results, your doctor may prescribe CPAP therapy.
If you comply with the 90-day trial period, Medicare may cover CPAP therapy.
Within three months of starting CPAP therapy, attend a follow-up doctor visit.
Most insurance providers require you to sleep with your CPAP equipment for at least 21 nights per month for a minimum of four hours per night.
Does Medicare Cover Sleep Studies?
Medicare Part B only covers Type I sleep tests if administered in a sleep lab facility. Furthermore, your doctor must order the test. You pay 20% of the Medicare-approved amount after you meet the Part B deductible.
Call Senior Healthcare Direct at 1-833-463-3262 and speak with a licensed agent about Medicare coverage.
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